Journal of Child and Family Studies

, Volume 27, Issue 4, pp 1054–1064 | Cite as

Assessing Parental Readiness to Change: A Psychometric Evaluation of the READI-SF in a Community Sample

  • Kaitlin B. ProctorEmail author
  • Elizabeth Brestan-Knight
  • Jinyan Fan
  • Kim R. Zlomke
Original Paper


Engagement in behavioral parent training programs continues to be a barrier to service delivery. Parental readiness is an important construct for understanding parental engagement in parent training services, as these programs place a high level of action-oriented demands on caregivers. The present study examines the performance of one parental readiness measure, the Readiness, Efficacy, Attributions, Defensiveness, and Importance Scale—Short Form (READI-SF) in a community-based sample. Participants included 103 families of children ages three to seven recruited from an urban charter school. Mothers completed an abbreviated version of the READI as well as indices of child disruptive behavior and a second measure of parental readiness. The psychometric properties and factor structure of the READI-SF are explored as well as indices of reliability and validity. Exploratory factor analysis revealed a three-factor model of readiness to change, treatment readiness, and perceived importance of the problem. Analyses also supported the validity and clinical utility of the measure, as READI-SF scores were found to predict attendance at a one-time parenting group. Lastly, the study examines the relationship between parental readiness and child disruptive behavior. Limitations and future directions are discussed.


Readiness Parent training Prevention Assessment 


Author Contributions

K.P.: collaborated on design of the study, executed the study, analyzed the data, and wrote the paper. E.B.K.: collaborated on design and execuation of the study, collaborated with writing of the study; J.F.: collaborated on data analysis and editing of the final manuscript; K.Z.: collaborated on design of the study and editing of the final manuscript

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

Approval for the current study was provided by the Auburn University IRB. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. Andrade, B. F., Browne, D. T., & Naber, A. R. (2015). Parenting skills and parent readiness for treatment are associated with child disruptive behavior and parent participation in treatment. Behavior Therapy, 46, 365–378. Scholar
  2. Armbruster, P., & Kazdin, A. E. (1994). Attrition in child psychotherapy. In T. H. Ollendick & R. J. Prinz (Eds.), Advances in Clinical Child Psychotherapy (pp. 81–108). New York, NY: Plenum Press.CrossRefGoogle Scholar
  3. Barnette, J. J. (2000). Effects of stem and Likert response option reversals on survey internal consistency: If you feel the need, there is a better alternative to using those negatively worded stems. Educational and Psychological Measurement, 60, 361–370.CrossRefGoogle Scholar
  4. Becker, K. D., Lee, B. R., Daleiden, E. L., Lindsey, M., Brandt, N. E., & Chorpita, B. F. (2015). The common elements of engagement in children’s mental health services: Which elements for which outcomes? Journal of Clinical Child and Adolescent Psychology, 44(1), 30–43. Scholar
  5. Berkovits, M. D., O’Brien, K. A., Carter, C. G., & Eyberg, S. M. (2010). Early identification and intervention for behavior problems in primary care: A comparison of two abbreviated versions of Parent-Child Interaction Therapy. Behavior Therapy, 41, 375–387. Scholar
  6. Boggs, S. R., Eyberg, S. M., Edwards, D. L., Rayfield, A., Jacobs, J., Bagner, D., & Hood, K. K. (2005). Outcomes of Parent-Child Interaction Therapy: A comparison of treatment completers and study dropouts one to three years later. Child & Family Behavior Therapy, 26(4), 1–22. Scholar
  7. Boggs, S. R., Eyberg, S. M., & Reynolds, L. A. (1990). Concurrent validity of the Eyberg Child Behavior Inventory. Journal of Clinical Child Psychology, 19(1), 75–78. Scholar
  8. Brestan, E. V., & Eyberg, S. M. (1998). Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5,272 kids. Journal of Clinical Child Psychology, 27(2), 180–189. Scholar
  9. Brestan, E. V., Ondersma, S. J., Simpson, S. M., & Gurwitch, R. H. (1999a). Application of stage of change theory to parenting behavior: Validating the parent readiness to change scale. Paper presented at the Florida Conference on Child Health Psychology, Gainesville, FL.Google Scholar
  10. Brestan, E. V., Ondersma, S. J., Simpson, S. M., & Gurwitch, R. H. (1999b). Readiness, Efficacy, Attributions, Defensiveness, and Importance scale. Unpublished measure.Google Scholar
  11. Brogan, M. M., Prochaska, J. O., & Prochaska, J. M. (1999). Predicting termination and continuation status in psychotherapy using the transtheoretical model. Psychotherapy, 36(2), 105–113. Scholar
  12. Brown, T. A. (2006). The common factor model and exploratory factor analysis. In D. A. Kenny (Ed.), Confirmatory Factor Analysis for Applied Research (pp. 12–39). New York, NY: The Guilford Press.Google Scholar
  13. Carey, K. B., Purnine, D. M., Maisto, S. A., & Carey, M. P. (1999). Assessing readiness to change substance abuse: A critical review of instruments. Clinical Psychology: Science and Practice, 6(3), 245–266. Scholar
  14. Chacko, A., Wymbs, B. T., Chimiklis, A., Wymbs, F. A., & Pelham, W. E. (2012). Evaluating a comprehensive strategy to improve engagement to group-based behavioral parent training for high-risk families of children with ADHD. Journal of Abnormal Child Psychology, 40(8), 1351–1362. Scholar
  15. Chaffin, M., Valle, L. A., Funderburk, B., Gurwitch, R., Silovsky, J., & Bard, D., et al. (2009). A motivational intervention can improve retention in PCIT for low-motivation child welfare clients. Child Maltreatment, 14(4), 356–368. Scholar
  16. DiClemente, C. C., Schlundt, B. S., & Gemmell, L. (2004). Readiness and stages of change in addiction treatment. The American Journal on Addictions, 13, 103–119. Scholar
  17. Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37(1), 215–237. Scholar
  18. Eyberg, S. M., & Pincus, D. (1999). The Eyberg Child Behavior Inventory and Sutter-Eyberg Student Behavior Inventory - Revised: Professional manual. Lutz, FL: Psychological Assessment Resources.Google Scholar
  19. Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4(3), 272–299. Scholar
  20. Flay, B. R., Biglan, A., Boruch, R. F., Castro, F. G., Gottfredson, D., & Kellam, S., et al. (2005). Standards of evidence: Criteria for efficacy, effectiveness and dissemination. Prevention Science, 6(3), 151–175. Scholar
  21. Floyd, F. J., & Widaman, K. F. (1995). Factor analysis in the development and refinement of assessment instruments. Psychological Assessment, 7(3), 286–299. Scholar
  22. Fok, C. C., & Henry, D. (2015). Increasing the sensitivity of measures to change. Prevention Science, 16(7), 978–986. Scholar
  23. Funderburk, B. W., Eyberg, S. M., Rich, B. A., & Behar, L. (2003). Further psychometric evaluation of the Eyberg and Behar rating scales for parents and teachers of preschoolers. Early Education & Development, 14(1), 67–82. Scholar
  24. Garvey, C., Julion, W., Fogg, L., Kratovil, A., & Gross, D. (2006). Measuring participation in a prevention trial with parents of young children. Research in Nursing and Health, 29(3), 212–222. Scholar
  25. Gopalan, G., Goldstein, L., Klingenstein, K., Sicher, C., Blake, C., & McKay, M. M. (2010). Engaging families in child mental health treatment: Updates and special considerations. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(3), 182–196.PubMedPubMedCentralGoogle Scholar
  26. Gottfredson, D. C., Cook, T. D., Gardner, F. E., Gorman-Smith, D., Howe, G. W., Sandler, I. N., & Zafft, K. M. (2015). Standards of evidence for efficacy, effectiveness, and scale-up research in prevention science: Next generation. Prevention Science, 16(7), 893–926. Scholar
  27. Greenberg, M. T., Domitrovich, C., & Bumbarger, B. (2001). The prevention of mental disorders in school-aged children: Current state of the field. Prevention and Treatment, 4, 1–62. Scholar
  28. Gurwitch, R. H., Messer, E. P., Masse, J., Olafson, E., Boat, B. W., & Putnam, F. W. (2016). Child–Adult Relationship Enhancement (CARE): An evidence-informed program for children with a history of trauma and other behavioral challenges. Child Abuse & Neglect, 53, 138–145.CrossRefGoogle Scholar
  29. Ingoldsby, E. M. (2010). Review of interventions to improve family engagement and retention in parent and child mental health programs. Journal of Child and Family Studies, 19(5), 629–645. Scholar
  30. Jones, H. A., Putt, G. E., Rabinovitch, A. E., Hubbard, R., & Snipes, D. (2016). Parenting stress, readiness to change, and child externalizing behaviors in families of clinically referred children. Journal of Child and Family Studies.
  31. Kaiser, H. F. (1960). The application of electronic computers to factor analysis. Educational and Psychological Measurement, 20, 141–151. Scholar
  32. Kline, P. (1994). An easy guide to factor analysis.. New York, NY: Routledge.Google Scholar
  33. Lindsey, M. A., Brandt, N. E., Becker, K. D., Lee, B. R., Barth, R. P., Daleiden, E. L., & Chorpita, B. F. (2014). Identifying the common elements of treatment engagement interventions in children’s mental health services. Clinical Child and Family Psychology Review, 17, 283–298.CrossRefPubMedGoogle Scholar
  34. Littell, J. H., & Girvin, H. (2002). Stages of change: a critique. Behavior Modification, 26(2), 223–273. Scholar
  35. MacCallum, R. C., Widaman, K. F., Zhang, S., & Hong, S. (1999). Sample size in factor analysis. Psychological Methods, 4(1), 84–99. Scholar
  36. McKay, M. M., & Bannon, Jr., W. M. (2004). Engaging families in child mental health services. Child and Adolescent Psychiatry Clinics of North America, 13(4), 905–921. Scholar
  37. Miller, G. E., & Prinz, R. J. (2003). Engagement of families in treatment for childhood conduct problems. Behavior Therapy, 34, 517–534. Scholar
  38. Napper, L. E., Wood, M. M., Jaffe, A., Fisher, D. G., Reynolds, G. L., & Klahn, J. A. (2008). Convergent and discriminant validity of three measures of stage of change. Psychology of Addictive Behaviors, 22(3), 362–371. Scholar
  39. Niec, L. N., Barnett, M. L., Gering, C. L., Triemstra, K., & Solomon, D. T. (2015). Differences in mothers’ and fathers’ readiness for change in parent training. Child & Family Behavior Therapy, 37(3), 224–235. Scholar
  40. Nix, R. L., Bierman, K. L., & McMahon, R. J. (2009). How attendance and quality of participation affect treatment response to parent management training. Journal of Consulting and Clinical Psychology, 77(3), 429–438. Scholar
  41. Nock, M. K., & Ferriter, C. (2005). Parent management of attendance and adherence in child and adolescent therapy: A conceptual and empirical review. Clinical Child and Family Psychology Review, 8(2), 149–166. Scholar
  42. Nock, M. K., & Kazdin, A. E. (2005). Randomized controlled trial of a brief intervention for increasing participation in parent management training. Journal of Consulting and Clinical Psychology, 73(5), 872–879. Scholar
  43. Nock, M. K., & Photos, V. (2006). Parent motivation to participate in treatment: Assessment and prediction of subsequent participation. Journal of Child and Family Studies, 15(3), 333–346. Scholar
  44. O’Connell, M. E., Boat, T., & Warner, K. E. (Eds.). (2009). Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Washington, DC: National Academies Press.Google Scholar
  45. Park, H. S., Dailey, R., & Lemus, D. (2002). The use of exploratory factor analysis and principal components analysis in communication research. Human Communication Research, 28(4), 562–577. Scholar
  46. Powe, C., Barber, A., Travis, J., Smeraglia, K., Tips, C., Collier, A., et al. (2011). READI to change: Assessing caregiver’s motivation to change their parenting. Nassau, Bahamas: Poster presented at the Caribbean Regional Conference of Psychology.Google Scholar
  47. Prochaska, J. M., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research, and Practice, 19(3), 276–288. Scholar
  48. Prochaska, J. M., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51(3), 390–395. Scholar
  49. Prochaska, J. O., Redding, C. A., & Evers, K. E. (2008). The transtheoretical model and stages of change. In K. Glanz, B. K. Rimer & K. Viswanath (Eds.), Health Behavior and Health Education: Theory, Research, and Practice. 4 ed. San Francisco, CA: Jossey-Bass, A Wiley Imprint.Google Scholar
  50. Proctor, K. B., Brestan-Knight, E., Bailey, J., & Zlomke, K. (2015). Validation of the READI-SF: Comparison of scores between a community and clinical sample. Poster presented at the annual convention of the Association for Behavioral and Cognitive Therapies, Chicago, IL.Google Scholar
  51. Proctor, K. B., & Brestan-Knight, E. (2016). Evaluating the use of assessment paradigms for preventive interventions: A review of the Triple P - Positive Parenting Program. Children and Youth Services Review, 62, 72–82. Scholar
  52. Rapp-Paglicci, L., & Savon, A. (2009). How can treatment motivation enhance youth prevention programs? Best Practices in Mental Health: An International Journal, 5(1), 44–51.Google Scholar
  53. Rich, B. A., & Eyberg, S. M. (2001). Accuracy of assessment: The discriminative and predictive power of the Eyberg Child Behavior Inventory. Ambulatory Child Health, 7, 249–257. Scholar
  54. Schilling, S., French, B., Berkowitz, S. J., Dougherty, S. L., Scribano, P. V., & Wood, J. N. (2016). Child–adult relationship enhancement in primary care (PRICARE): a randomized trial of a parent training for child behavior problems. Academic Pediatrics.
  55. Shaw, D. S. (2013). Future directions for research on the development and prevention of early conduct problems. Journal of Clinical Child and Adolescent Psychology, 42(3), 418–428. Scholar
  56. Spoth, R. L., Redmond, C., Kahn, J. H., & Shin, C. (1997). A prospective validation study of inclination, belief, and context predictors of family-focused prevention involvement. Family Process, 36, 403–429. Scholar
  57. Steiner, H., & Remsing, L. (2007). Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 46(1), 126–141. Scholar
  58. Stevens, J. (1996). Applied multivariate statistics for the social sciences (3rd ed.). Mahwah, NJ: Lawrence Erlbaum.Google Scholar
  59. Wade, M., & Andrade, B. F. (2015). Validation of a measure of parental readiness for treatment in a clinical sample of children with disruptive behavior. Journal of Psychopathology and Behavioral Assessment, 37(2), 184–195. Scholar
  60. Webster-Stratton, C., & Reid, M. J. (2006). Treatment and prevention of conduct problems: Parent training interventions for young children (2-7 years old. In K. McCartney & D. Phillips (Eds.), Blackwell Handbook of Early Childhood Development (pp. 616–641). Malden, MA: Oxford: Blackwell Publishing.CrossRefGoogle Scholar
  61. Weis, R., Lovejoy, M. C., & Lundahl, B. W. (2005). Factor structure and discriminative validity of the Eyberg Child Behavior Inventory with young children. Journal of Psychopathology and Behavioral Assessment, 27(4), 269–278. Scholar
  62. Wierzbicki, M., & Pekarik, G. (1993). A meta-analysis of psychotherapy dropout. Professional Psychology: Research and Practice, 24(2), 190–195. Scholar
  63. Williams, B., Brown, T., & Onsman, A. (2012). Exploratory factor analysis: A five-step guide for novices. Australasian Journal of Paramedicine, 8(3), 1–13.Google Scholar
  64. Woods, C. M. (2006). Careless responding to reverse-worded items: Implications for confirmatory factor analysis. Journal of Psychopathology and Behavioral Assessment, 28(3), 186–191.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Kaitlin B. Proctor
    • 1
    Email author
  • Elizabeth Brestan-Knight
    • 1
  • Jinyan Fan
    • 1
  • Kim R. Zlomke
    • 2
  1. 1.Auburn UniversityAuburnUSA
  2. 2.University of South AlabamaMobileUSA

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